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The relationship between overweight and otitis media with effusion in children

Abstract

Objective:

To assess the relationship between pediatric otitis media with effusion (OME) and body mass index (BMI).

Methods:

We assessed 140 children aged 2–7 years who underwent unilateral or bilateral ventilation tube insertion for treatment of OME (experimental group) and 190 children with no history of OME who underwent operations for conditions other than ear diseases during the same period. Each group was divided into four subgroups based on BMI by age and gender: underweight (BMI below normal limits; BMI5th percentile), normal (BMI within normal limits; 5th<85th percentile), overweight (BMI over normal limits; 85thBMI<95th percentile) and obese ( BMI95th percentile). We explored differences in BMI, and serum triglycerides (TG) and total cholesterol (TC), between the experimental and control group, in comparison with values from those of standard body weight.

Results:

The prevalence of obesity was significantly higher in the experimental than in the control group (P<0.05). BMI, TG and TC did not, however, differ significantly between groups, according to standard body weight.

Conclusion:

Pediatric obesity may have an effect on the development of OME, but pediatric overweight may be not associated with occurrence of OME.

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References

  1. Klein JO, Tos M, Hussl B, Naunton RF, Ohyama M, van Cauwenberge PB . Recent advances in otitis media. Definition and classification. Ann Otol Rhinol Laryngol 1989; 139: 10.

    Article  CAS  Google Scholar 

  2. Gortmaker SL, Dietz WH, Sobol AM, Wehler CA . Increasing pediatric obesity in the United States. Am J Dis Child 1987; 141: 535–540.

    CAS  PubMed  Google Scholar 

  3. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents: the National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995; 149: 1085–1091.

    Article  CAS  Google Scholar 

  4. Styne DM . Childhood and adolescent obesity: prevalence and significance. Pediatr Clin North Am 2001; 48: 823–854.

    Article  CAS  Google Scholar 

  5. Kim JB, Park DC, Cha CI, Yeo SG . Relationship between pediatric obesity and otitis media with effusion. Arch Otolaryngol Head Neck Surg 2007; 133: 379–382.

    Article  Google Scholar 

  6. Flegal KM, Graubard BI, Williamson DF, Gail MH . Cause-specific excess deaths associated with underweight, overweight, and obesity. JAMA 2007; 298: 2028–2037.

    Article  CAS  Google Scholar 

  7. American Academy of Pediatrics. Committee on Nutrition. Prevention of Pediatric Overweight and Obesity. Pediatrics 2003; 112: 424–430.

    Article  Google Scholar 

  8. Ahn HS . Pediatrics. 8th edn. Daehan printing & Publishing: Seoul, Korea, 2005; 1232–1248.

    Google Scholar 

  9. World Health Organization Expert Committee. Physical Status: The Use and Interpretation of Anthropometry. WHO technical report series World Health Organization: Geneva, Switzerland, 1995; 854.

  10. Stool SE, Bluestone CD, Field MJ . Studies in otitis media Pittsburgh otitis media reseach center progress report 1982. Ann Oto Rhinol Laryngol Suppl 1983; 92: 6.

    Article  Google Scholar 

  11. Kim LS, Han CS . Pathophysiology of otitis media with effusion. J Clinical Otolaryngol 2000; 11: 197–205.

    CAS  Google Scholar 

  12. Ebbeling CB, Pawlak DB, Ludwig DS . Childhood obesity; public-health crisis, common sense cure. Lancet 2002; 360: 473–482.

    Article  Google Scholar 

  13. Barlow SE, Dietz WH . Obesity evaluation and treatment: expert committee recommendations. J Pediatr 1998; 102: 1–11.

    Article  Google Scholar 

  14. Sokol RJ . The chronic disease of childhood obesity: the sleeping giant has awakened. J Pediatr 2000; 136: 711–713.

    Article  Google Scholar 

  15. Schachter LM, Salome CM, Peat JK, Woolcock AJ . Obesity is a risk for asthma and wheeze but not airway hyperresponsiveness. Thorax 2001; 56: 4–8.

    Article  CAS  Google Scholar 

  16. Chu YT, Chen WY, Wang TN, Tseng HI, Wu JR, Ko YC . Extreme BMI predicts higher asthma prevalence and is associated with lung function impairment in school-aged children. Pediatr Pulmonol 2009; 44: 472–479.

    Article  Google Scholar 

  17. Shibli R, Rubin L, Akons H, Shaoul R . Morbidity of overweight (&gt;or=85th percentile) in the first 2 years of life. Pediatrics 2008; 122: 267–272.

    Article  Google Scholar 

  18. Jaffe M, Kosakov C . The motor development of fat babies. Clin Pediatr (phila) 1982; 21: 619–621.

    Article  CAS  Google Scholar 

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Correspondence to S G Yeo.

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Kim, S., Park, D., Byun, J. et al. The relationship between overweight and otitis media with effusion in children. Int J Obes 35, 279–282 (2011). https://doi.org/10.1038/ijo.2010.144

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